Aesthetic reconstruction of the nasal tip using a folded composite graft from the ear

Defects of the nasal tip, the alar, and the columella were treated with composite grafts from the postauricular area. The graft was folded into a three-dimensional shape, which provided a three-layered reconstruction of skin, cartilage and nasal lining. This procedure preserved the shape of the reconstruction for a longer time and yielded a good aesthetic result. Moreover, although this method was simple and was carried out in one stage, it left minimal morbidity of the donor site, and produced satisfying results.